Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
露出血管を同定し内視鏡的止血術を施行し得た大腸憩室出血の1例
大浦 佳永井上 拓也永尾 重昭東山 正明中屋 照雄島内 一美奥平 圭輔川久保 実和橋口 一利宮崎 純一松崎 宏治都築 義和岩井 淳浩川口 淳伊藤 和郎三浦 総一郎
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2002 年 61 巻 2 号 p. 104-105

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A 63-year-old man was transferred to our hospital for hematochezia syncope. First colonoscopy revealed colonic diverticulosis in the cecum and ascending colon, but the precise bleeding point diverticula was not determined. After the colon has bees purged with polyethylene glycol, the second colonoscopy was able to identify an exposed vessel with the diverticulum in the ascending colon. The diverticulum was closed by 3 pieces of clipping devices. The patient has not been re-bled. Since the wall of colon diverticulums is very thin, the clipping is better than ehanol-injection or heater-probe. To identify the precise point of bleeding make us do easy colonoscopic hemostasis. In this case, it is very important to purge the colon as much as possible to identify the precise bleeding point of the colon bleeding.
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© 2002 一般社団法人 日本消化器内視鏡学会 関東支部
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